Social Security Claims Specialist

Role Overview

• Supports and promotes change management and/or departmental/enterprise initiatives within assigned area(s) of responsibility.
• Meets or exceeds departmental quality and service standards.
• Works overtime as needed.
• Delivers routine work independently, in accordance with established procedures and guidelines, in a timely manner and meets deadlines appropriately.
• Makes routine & non-routine decisions, applying limited but increasingly more discretion within role except for matters of significance which affect the business as a whole or a significant part of it, in accordance with established procedures & guidelines.
• Applies expanded knowledge obtained from the role in increasingly more complex situations and continues to acquire more knowledge to apply in role.
• Provides a diverse range of information and performs a diverse range of tasks/transactions related to common programs and services.
• Reviews and interprets disability insurance policies with specific attention to provisions related to other income and/or offsets.
• Contacts and educates claimants eligible for SSDI benefits.
• Explains both the differences and coordination between the disability policy/benefits and the SSA's benefits/adjudication.
• Provides initial guidance and continues on-going communication with claimants regarding their SS responsibilities and follow-up items until a final determination is made.
• Accurately posts SS offsets in applicable system(s).
• Develops and maintains working relationships with SSDI vendors and/or claimant attorneys.
• Works closely with internal benefits/claims teams; regularly providing information and updates regarding Social Security eligibility and determinations.
• Recognizes issues and raises concerns to management, with recommendations for improvement.
• Takes initiative to investigate issues and identify root causes; recommends solutions to improve operational effectiveness.
• Maintains and updates knowledge of SSDI guidelines and departmental policies & procedures.

Requirements

• High School diploma or GED or minimum Associate degree in lieu of required experience.
• Effective strong written and verbal communication skills.
• Ability to maneuver through multiple systems/databases/platforms/software.
• Ability to be adaptable/flexible as business needs change.
• 2
• 3 Years’ experience in claims or other insurance operations directly aligned to the specific duties for this role OR for candidates with an Associate degree or above, 0-1 year experience in claims or other insurance operations directly aligned to the role.
• Ability to problem solve and make independent decisions, while providing compassionate customer service.
• Research and data entry experience in a fast-paced environment.
• Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook).

Benefits

• PTO/parental leave
• Competitive 401K and employee benefits
• Free financial counseling, health coaching and employee assistance program
• Tuition assistance program
• Effective productivity/technology tools and training